Dr Kenneth J Richter, DO is a medicare enrolled "Neuromusculoskeletal Medicine, Sports Medicine" physician in Farmington Hills, Michigan. His current practice location is
34505 West 12 Mile Rd Suite 100, Farmington Hills, Michigan. You can reach out to his office (for appointments etc.) via phone at
(734) 343-7500.
Dr Kenneth J Richter is licensed to practice in Michigan (license number 5101007564) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033159132.
Physician's Profile
| Full Name | Dr Kenneth J Richter |
|---|
| Gender | Male |
|---|
| Speciality | Neuromusculoskeletal Medicine, Sports Medicine |
|---|
| Location | 34505 West 12 Mile Rd Suite 100, Farmington Hills, Michigan |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1033159132
- Provider Enumeration Date: 06/07/2006
- Last Update Date: 07/03/2019
Medicare PECOS Information:
- PECOS PAC ID: 7214954734
- Enrollment ID: I20051025000018
Medical Identifiers
Medical identifiers for Dr Kenneth J Richter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033159132 | NPI | - | NPPES |
| 2905041 TYPE 11 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 5101007564 (Michigan) | Secondary |
| 2081P0004X | Physical Medicine & Rehabilitation - Spinal Cord Injury Medicine | 5101007564 (Michigan) | Secondary |
| 2081P0010X | Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine | 5101007564 (Michigan) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 5101007564 (Michigan) | Secondary |
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 5101007564 (Michigan) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 5101007564 (Michigan) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 5101007564 (Michigan) | Secondary |
| 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 5101007564 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth J Richter is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kenneth J Richter, DO
34505 West 12 Mile Rd Suite 100,
Farmington Hills, MI 48331
Ph: (734) 343-7500 | Dr Kenneth J Richter, DO
34505 West 12 Mile Rd Suite 100,
Farmington Hills, MI 48331
Ph: (734) 343-7500 |
Reviews and Comments